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NPI Code Detail

MEDICARE: FOHRMAN ANESTHESIA SERVICES AND CONSULTING INC

MEDICARE: FOHRMAN ANESTHESIA SERVICES AND CONSULTING INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianA65434CA

General Provider Information

NPI Number : 1487005641
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOHRMAN ANESTHESIA SERVICES AND CONSULTING INC
Provider Business Mailing Address
First Line : PO BOX 7001
Second Line :
City : TARZANA
State : CA
Zip : 91357-7001
Country : US
Telephone Number : 818-888-7815
Fax Number : 818-715-1722
Provider Business Practice Location Address
First Line : 9231 W OLYMPIC BLVD
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90212-4658
Country : US
Telephone Number : 818-888-7815
Fax Number :
Authorized Official
Title or Position : PRESIDENT/ SOLE OWNER
Name : EDWARD FOHRMAN
Credential : M.D.
Telephone Number : 312-608-4233
Provider Enumeration Date : 06/28/2016
Last Update Date : 06/28/2016

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Directions to “FOHRMAN ANESTHESIA SERVICES AND CONSULTING INC ” Practice Location

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